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Horizon Medicare Advantage NJ DIRECT (PPO)

A message from:
Dave Perry
Vice President, State Health Benefits Program
Horizon Blue Cross Blue Shield of New Jersey

Effective January 1, 2019, Horizon Blue Cross Blue Shield of New Jersey will no longer administer Medicare Advantage (MA) PPO plans for the New Jersey State Health Benefits Program (SHBP). As a result, the Horizon Medicare Advantage NJ DIRECT10 (PPO) and Horizon Medicare Advantage NJ DIRECT15 (PPO) plans will be discontinued.

Members currently enrolled in Horizon Medicare Advantage NJ DIRECT10 (PPO) and Horizon Medicare Advantage NJ DIRECT15 (PPO) will transition to Aetna Medicare Advantage PPO ESA 10 or Aetna Medicare Advantage PPO ESA 15, effective January 1, 2019. Your patients affected by this change will receive new member identification (ID) cards for their new Aetna plan.

As a participating provider in the Horizon Managed Care Network, you can continue to provide health care services to members enrolled in Horizon Medicare Advantage NJ DIRECT (PPO) plans until December 31, 2018. For all services provided on or after January 1, 2019, claims should be submitted to Aetna. Please ensure your office staff is aware of this change when submitting claims.

If you have any questions, please call Provider Services at 1-800-624-1110. Patients who have questions about their new coverage can call Aetna directly at 1-866-234-3129 (TTY 711).

Thank you being a valued participating provider. We look forward to continuing to work with you to serve our members.

Published on: October 31, 2018, 00:00 AM ET
Last updated on: December 7, 2018, 09:53 AM ET